Cost analysis of radical resection of malignant breast tumors under the China Healthcare Security Diagnosis Related Groups payment system

BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hospitalization costs and structure,and explored the impact of China Healthcare Security Diagnosis Related Groups(CHS-DRG)management on patient costs.It aimed to provide medical institutions with ways to reduce costs,optimize cost structures,reduce patient burden,and improve service efficiency.AIM To study the CHS-DRG payment system’s impact on breast cancer surgery costs.METHODS Using the CHS-DRG(version 1.1)grouping criteria,4073 patients,who underwent the radical resection of breast malignant tumors from January to December 2023,were included in the JA29 group;1028 patients were part of the CHS-DRG payment system,unlike the rest.Through an independent sample t-test,the length of hospital stay as well as total hospitalization,medicine and consumables,medical,nursing,medical technology,and management expenses were compared.Pearson’s correlation coefficient was used to test the cost correlation.RESULTS In terms of hospitalization expenses,patients in the CHS-DRG payment group had lower medical,nursing,and management expenses than those in the diagnosis-related group(DRG)non-payment group.For patients in the DRG payment group,the factors affecting the total hospitalization cost,in descending order of relevance,were medicine and consumable costs,consumable costs,medicine costs,medical costs,medical technology costs,management costs,nursing costs,and length of hospital stay.For patients in the DRG nonpayment group,the factors affecting the total hospitalization expenses in descending order of relevance were medicines and consumable expenses,consumable expenses,medical technology expenses,the cost of medicines,medical expenses,nursing expenses,length of hospital stay,and management expenses.CONCLUSION The CHS-DRG system can help control and reduce unnecessary medical expenses by controlling medicine costs,medical consumable costs,and the length of hospital stay while ensuring medical safety.

Surgical treatment of liver cancer and pancreatic cancer under the China Healthcare Security Diagnosis Related Groups payment system

BACKGROUND Data from the World Health Organization’s International Agency for Research on Cancer reported that China had the highest prevalence of cancer and cancer deaths in 2022.Liver and pancreatic cancers accounted for the highest number of new cases.Real-world data(RWD)is now widely preferred to traditional clinical trials in various fields of medicine and healthcare,as the traditional research approach often involves highly selected populations and interventions and controls that are strictly regulated.Additionally,research results from the RWD match global reality better than those from traditional clinical trials.AIM To analyze the cost disparity between surgical treatments for liver and pancreatic cancer under various factors.METHODS This study analyzed RWD 1137 cases within the HB1 group(patients who underwent pancreatectomy,hepatectomy,and/or shunt surgery)in 2023.It distinguished different expenditure categories,including medical,nursing,technical,management,drug,and consumable costs.Additionally,it assessed the contribution of each expenditure category to total hospital costs and performed cross-group comparisons using the non-parametric Kruskal–Wallis test.This study used the Steel–Dwass test for post-hoc multiple comparisons and the Spearman correlation coefficient to examine the relationships between variables.RESULTS The study found that in HB11 and HB13,the total hospitalization costs were significantly higher for pancreaticoduodenectomy than for pancreatectomy and hepatectomy.Although no significant difference was observed in the length of hospital stay between patients who underwent pancreaticoduodenectomy and pancreatectomy,both were significantly longer than those who underwent liver resection.In HB15,no significant difference was observed in the total cost of hospitalization between pancreaticoduodenectomy and pancreatectomy;however,both were significantly higher than those in hepatectomy.Additionally,the length of hospital stay was significantly longer for patients who underwent pancreaticoduodenectomy than for those who underwent pancreatectomy or liver resection.CONCLUSION China Healthcare Security Diagnosis Related Groups payment system positively impacts liver and pancreatic cancer surgeries by improving medical quality and controlling costs.Further research could refine this grouping system and ensure continuous effectiveness and sustainability.

Potential of Photovoltaic Industry in Egypt

PV （photovoltaic） market is dominated by Europe, especially Germany and Spain. However, the PV industry leaders recently exist in Asia. The huge market growth require industry growth, but with competitive cost. The electricity shortage in Egypt makes transferring to photovoltaic technology necessary, especially with the high solar radiation. The only reason why grid parity is not yet reached in Egypt is the elevated subsidiary of conventional electricity. If this subsidy is transformed to incentives for using and manufacturing solar cells, the situation will vary. This article shows that transferring PV industry to Egypt has a potential of cost saving of 5.7%, which could be translated either into competitive price or higher return on investment. This work is not a feasibility study. However, based on the cost structure of each phase in the PV industry value chain, the benefit （5.7% cost reduction potential） of transferring the industry to Egypt is worthy to accomplish the needed feasibility study.

Profitable credit card business empirical analysis of factors

Since 1995, major domestic commercial banks are beginning to have a variety of credit cards issued. However, at present, China＇s relatively low profitability of the credit card business, it accounts for a smaller proportion of total bank income. By means of credit card revenue／cost structure analysis, the authors found spending and overdraft balances affecting credit card business, an important factor in profitability. At the same time, combined with a commercial bank＇s existing statistical data, using SPSS software correlation and regression analysis, the authors found that the key to improve the bank card revenue is to raise China＇s commercial banks, credit card revolving credit utilization, and expand the scale of overdraft balances.

Practice of Project Management Methodology for Commercial Aero engines Based on Integrative Project Architectures

To collect and share information of projects or products and make it consistent and correct so that the quality and costs of projects can be effectively controlled,an integrative project architecture integrating different types of breakdown structures is necessary.In this paper,the international research status on work breakdown structure(WBS)was analyzed,and an integrative project architecture for commercial aero-engines was designed,where product breakdown structure(PBS),WBS,organization breakdown structure(OBS)and cost breakdown structure(CBS)were integrated and built.And the architecture was applied in information systems.A transfer from technological views of complex products through their lifecycles to management views has been realized with this standardized architecture,thus development tasks and costs can be controlled.

Context-Sensitive Document Ranking

Ranking is a main research issue in IR-styled keyword search over a set of documents. In this paper, we study a new keyword search problem, called context-sensitive document ranking, which is to rank documents with an additional context that provides additional information about the application domain where the documents are to be searched and ranked. The work is motivated by the fact that additional information associated with the documents can possibly assist users to find more relevant documents when they are unable to find the needed documents from the documents alone. In this paper, a context is a multi-attribute graph, which can represent any information maintained in a relational database, where multi-attribute nodes represent tuples, and edges represent primary key and foreign key references among nodes. The context-sensitive ranking is related to several research issues, how to score documents, how to evaluate the additional information obtained in the context that may contribute to the document ranking, how to rank the documents by combining the scores/costs from the documents and the context. More importantly, the relationships between documents and the information stored in a relational database may be uncertain, because they are from different data sources and the relationships are determined systematically using similarity match which causes uncertainty. In this paper, we concentrate ourselves on these research issues, and provide our solution on how to rank the documents in a context where there exist uncertainty between the documents and the context. We confirm the effectiveness of our approaches by conducting extensive experimental studies using real datasets. We present our findings in this paper.

Recent progress in Li-S and Li-Se batteries

Li–S and Li–Se batteries have attracted tremendous attention during the past several decades, as the energy density of Li–S and Li–Se batteries is high（several times higher than that of traditional Li-ion batteries）.Besides, Li–S and Li–Se batteries are low cost and environmental benign. However, the commercial applications of Li–S and Li–Se batteries are hindered by the dissolution and shuttle phenomena of polysulfide（polyselenium）, the low conductivity of S（Se）, etc. To overcome these drawbacks, scientists have come up with various methods, such as optimizing the electrolyte, synthesizing composite electrode of S/polymer, S/carbon, S/metal organic framework（MOF） and constructing novelty structure of battery.In this review, we present a systematic introduction about the recent progress of Li–S and Li–Se batteries, especially in the area of electrode materials, both of cathode material and anode material for Li–S and Li–Se batteries. In addition, other methods to lead a high-performance Li–S and Li–Se batteries are also briefly summarized, such as constructing novelty battery structure, adopting proper charge–discharge conditions, heteroatom doping into sulfur molecules, using different kinds of electrolytes and binders. In the end of the review, the developed directions of Li–S and Li–Se batteries are also pointed out. We believe that combining proper porous carbon matrix and heteroatom doping may further improve the electrochemical performance of Li–S and Li–Se batteries. We also believe that Li–S and Li–Se batteries will get more exciting results and have promising future by the effort of battery community.